| 145 | 7 | 185 |
| 下载次数 | 被引频次 | 阅读次数 |
目的探讨吸烟对正常男性和弱精子症男性精子DNA完整性的影响。方法采用病例-对照配对法,通过染色质扩散法测定了重度吸烟和从不吸烟的164例正常男性和120例弱精子症男性的精子DNA碎片指数(DFI)。结果重度吸烟者相比非吸烟者DFI显著升高(P<0.01),其值分别为17.8和14.6。弱精子症患者与正常男性相比DFI显著升高(P<0.001),其值分别为19.2和14.9。在正常精子男性中,重度吸烟者比非吸烟者DFI显著升高(P<0.05),而在弱精子症患者中,重度吸烟者也比非吸烟者的DFI显著升高(P<0.05)。结论弱精子症患者比正常男性的DNA完整性降低。重度吸烟对于正常男性和弱精子症患者都是一个损伤DNA的危险因子。吸烟可能与其它病理因素共同影响精子的DNA完整性。
Abstract:Objective:To investigate the impact of smoking on sperm DNA integrity in patients with normozoospermic and asthenozoospermic. Methods:This paired case-control study was conducted in heavy-smoking or non-smoking patients including 164 normozoospermic and 120 asthenozoospermic patients.Sperm DNA integrity presented by the DNA fragmentation index(DFI)was assayed by sperm chromatin dispersion(SCD)method. Results:The DFI of heavy smokers was significantly higher than that of non-smokers(P<0.001), with values of 17.8 and 14.6 respectively.The asthenozoospermic patients had higher DFI compared to the normozoospermic patients(P<0.001),with values of 19.2 and 14.9 respectively.The heavy-smoking normozoospermic patients had significantly higher DFI than the non-smoking normozoospermic patients (P<0.05).The heavy-smoking asthenozoospermic patients also had significantly higher DFI than non-smoking asthenozoospermic patients(P<0.05). Conclusions:Asthenozoospermic patients have lower sperm DNA integrity than normozoospermic patients.Heavy-smoking can impair sperm DNA integrity in both normozoospermic and astheznozoospermic patients.Smoking is a risk factor for sperm DNA integrity.
[1]de Kretser DM.Male infertility[J].Lancet,1997,349: 787-790.
[2]Auger J.Kunstmann JM,Czyglik F,et al.Decline in semen quality among fertile men in Paris during the past 20 years [J].N Engl J Med,1995,332:281-285.
[3]Carlsen E.Giwercman A,Keiding N,et al.Evidence for decreasing quality of semen during past 50 years[J].BMJ, 1992,305:609-613.
[4]Vine M.Worldwide decline in semen quality might be due to smoking[J].BMJ,1996,312:506.
[5]于艳,管群,杨丽霞.等.精子DNA损伤对生殖结局的影响及临床意义[J].现代妇产科进展,2010,19:704-706.
[6]弓翠屏,高云.精子DNA完整性与男性不育[J].中国优生与遗传杂志,2012,20:1-4.
[7]Ji G,Gu A,Wang Y,et al.Genetic variants in antioxidant genes are associated with sperm DNA damage and risk of male infertility in a Chinese population[J].Free Radic Biol Med,2012,52:775-780.
[8]World Health Organization.WHO laboratory manual for the examination and processing of human semen[M].5th ed, GenevarWHO Press,2010.
[9]Moskovtsev SI,Mullen JB,Lecker I,et al.Frequency and severity of sperm DNA damage in patients with confirmed cases of male infertility of different aetiologies[J/OL]. Reprod Biomed Online,2010,20:759-763.
[10]孙超,徐志鹏,石亮,等.不育症患者精子DNA碎片化指数与精子常规参数关系的研究[J].南京医科大学学报(自然科学版),20t1,31:565-570.
[11]黄学锋,金建远,费前进,等.精子DNA损伤:独立的精子质量评价指标[J].温州医学院学报,2010.40:239-242.
[12]郑九嘉,杨旭,张李雅,等.精子DNA损伤、核蛋白组型转换与顶体酶活性及精液参数的相关性分析[J].中华男科学杂志,2012,18:925-929.
[13]牛志宏,刘建兵,史庭燕,等.吸烟对精子染色质结构完整性影响的探讨[J].中华男科学杂志,2010,1 6:300-304.
[14]刘安娜,王厚照.吸烟对男性不育患者精子DNA完整性及精子形态的影响分析[J].中国优生与遗传杂志,2012,20: 118.67.
[1 5]孙启玉,李剑,韩迎春,等.吸烟对男性精子核DNA完整性的影响[J].检验医学与临床,2010,7:2075-2076.
[16]Sepaniak S.Forges T,Gerard H,et al.The influence of cigarette smoking on human sperm quality and DNA fragmentation[J].Toxicology,2006,223:54-60.
[17]Calogero A,Polosa R.Perdichizzi A,et al.Cigarette smoke extract immobilizes human spermatozoa and induces sperm apoptosis[J/OL].Reprod Biomed Online,2009,19:564-571.
[18]Taha EA,Ez-Aldin AM.Sayed SK.et al.Effect of smoking on sperm vitality,DNA integrity,seminal oxidative stress,zinc in fertile men[J].Urology,2012,80:822-825.
[19]Malhotra D.Thimmulappa RK.Mercado N,et al.Denitrosylation of HDAC2 by targeting Nrf2 restores glucocorticosteroid sensitivity in macrophages from COPD patients[J].J Clin Invest, 2011,121:4289-4302.
[20]Malhotra D,Thimmulappa R,Navas-Acien A,et al.Decline in NRF2-regulated antioxidants in chronic obstructive pulmonary disease lungs due to loss of its positive regulator, DJ-1[J].Am J Respir Crit Care Med.2008.178:592-604.
[21]Goven D.Boutten A,Lecon-Malas V,et al.Prolonged cigarette smoke exposure decreases heme oxygenase-1 and alters Nrf2 and Bachl expression in human macrophages: roles of the MAP kinases ERK(l/2)and JNK[J].FEBS l.ett, 2009,583:3508-3518.
[22]Garbin U,Fratta Pasini A,Stranieri C,et al.Cigarette smoking blocks the protective expression of Nrf2/ARE pathway in peripheral mononuclear cells of young heavy smokers favouring inflammation[OL].PLoS One,2009, 4:e8225.
基本信息:
中图分类号:R698.2
引用信息:
[1]余波澜,周宇林,陈康,等.吸烟对正常男性和弱精子症男性精子DNA完整性的影响[J].生殖医学杂志,2013,22(06):404-408.
基金信息:
广州市科技计划项目(2012J4300089);; 广州医学院基金(2011C09)资助
2013-06-15
2013-06-15